Medical Records

Thank you for trusting Barlow Respiratory Hospital with your care. We serve Los Angeles County and beyond with award-winning specialized medical care for critically ill and medically complex patients. Barlow Respiratory Hospital is the only not-for-profit respiratory hospital in California.

If you or your loved one has been a patient at Barlow Respiratory Hospital and wish to request copies of medical records, please download, complete and return this form by FAX or mail OR contact us with your questions, comments, or concerns and a hospital representative will respond as soon as possible.

Completion of this document authorizes Barlow Respiratory Hospital to disclose and/or use health information about you.

Important Notes

Please note: Failure to provide all information requested may invalidate this authorization. There are fees associated with the disclosure of health information to patients and patient representatives.